漏斗胸和鸡胸亚型中特发性脊柱侧凸的评估。
EVALUATION OF IDIOPATHIC SCOLIOSIS IN SUBTYPES OF PECTUS EXCAVATUM AND CARINATUM.
作者信息
Haje Davi de Podesta, Barriviera Guilherme Antunes, Silva Marcos Vinícius Santana, Maebayashi Caroline Kaori
机构信息
Hospital de Base do Distrito Federal, Departamento de Ortopedia e Traumatologia, Brasilia, DF, Brazil.
Centro Clinico Orthopectus, Brasilia, DF, Brazil.
出版信息
Acta Ortop Bras. 2025 Jan 10;32(6):e278331. doi: 10.1590/1413-785220243206e278331. eCollection 2024.
OBJECTIVE
Evaluation of epidemiological data on Idiopathic Scoliosis in patients with different pectus subtypes.
METHODS
A medical record analysis of 418 patients with pectus, associated with idiopathic scoliosis above 10°, with research on: subtypes of pectus (Lateral Pectus Carinatum, Inferior Pectus Carinatum, Superior Pectus Carinatum, Broad Pectus Excavatum, and Localized Pectus Excavatum), and characteristics of the scoliotic curve (Cobb angle, laterality, and location).
RESULTS
The mean age was 14.6 years (22° mean Cobb, 52% females and 48% males). The most frequent kind of pectus was Inferior Pectus Carinatum (28%). The left-convex thoracolumbar type was the most frequent. Scoliosis was more severe in thoracic location and females. The main type was LPC (p < 0.05) in those with severe scoliosis. BPE was more present in men (68%), and LPC and SPC in women (p < 0.05). No significant differences were found between the pectus type and the side or location of the scoliosis curve.
CONCLUSION
Depending on the subtype of pectus, the scoliotic curve presents distinct epidemiology and characteristics.
目的
评估不同胸壁畸形亚型患者特发性脊柱侧凸的流行病学数据。
方法
对418例患有胸壁畸形且特发性脊柱侧凸度数大于10°的患者进行病历分析，研究内容包括：胸壁畸形亚型（外侧鸡胸、下鸡胸、上鸡胸、宽漏斗胸和局限性漏斗胸）以及脊柱侧凸曲线的特征（ Cobb角、侧弯方向和位置）。
结果
平均年龄为14.6岁（平均Cobb角22°，女性占52%，男性占48%）。最常见的胸壁畸形类型是下鸡胸（28%）。最常见的是左侧凸胸腰段类型。脊柱侧凸在胸段位置和女性中更为严重。严重脊柱侧凸患者中主要类型是外侧鸡胸（p < 0.05）。宽漏斗胸在男性中更常见（68%），外侧鸡胸和上鸡胸在女性中更常见（p < 0.05）。在胸壁畸形类型与脊柱侧凸曲线的侧弯方向或位置之间未发现显著差异。
结论
根据胸壁畸形的亚型，脊柱侧凸曲线呈现出不同的流行病学特征和特点。
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